Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | R8N70 | MO |
NPI | 1184727372 |
---|---|
Provider Name | Harvey Solomon |
First Address | Saint Louis, MO 63110 |
Second Address | Saint Louis, MO 63110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 18/03/2008 |